MedXpert

Best-in-Class Cardiovascular Resource Center

MedXpert is an edited and reviewed warehouse of educational materials, informational articles, proforma analyses, policies and procedures, and other tools—all contributed by industry experts, member programs, and corporate partners. The resources found in MedXpert are focused on the optimization of all program areas and cover a range of topics as listed below.

Hear real-life success stories from both integrated and private groups as this panel discusses: • Governance and leadership is the foundation of a functional service line. We will review of sample structures and details on what works and what doesn’t. • Economic alignment is critical in order to thrive in a value economy. Choosing how and what to incent beyond simple production is also key. Learn what pitfalls to avoid and how the process of achieving alignment can happen. • With the advent of bundled payments and accountability far outside the hospital walls, physicians and administrators are responsible for areas beyond their direct control. Hear how the service line model is well-positioned in this new environment.

Every program has room for improvement in quality. The key is finding areas that have a true impact for the patient and the organization. This panel includes programs that have initiated quality improvement activities in their CVSL and they will share what they learned along the way. Part of the discussion will cover how some organizations participate in expensive registries, but don’t fully leverage these valuable tools. We will hear how others are taking advantage of the trove of quality contained within to create successful quality initiatives.

EPMs have become a central focus of the national discourse on cardiovascular care. While many organizations were not in selected MSAs, the preparations and shift from volume-based to value-based health care is continuing to move forward in many different forms. All payers are increasingly basing reimbursements on the quality of care provided, not just the number and type of procedures; this session will focus on innovative approaches to redesigning care to achieve long-range success.

Many physicians are familiar with the provisions of Stark Law and the Anti-Kickback Statute, and the requirement that physician contracts (employment, PSA or Co-management) be at a price consistent with “fair market value.” Less is understood about the requirement that contracts also be “commercially reasonable.” This panel will educate attendees about the need to establish and prove commercial reasonableness as part of any physician compensation arrangement and will explore the subject from a legal and third party FMV assessment perspective.

Is telemedicine a tool to improve patient access, cost avoidance and quality outcomes? Based upon CMS’ expansion of billing codes and with health care systems focusing on delivering population health, telehealth technology is a growing and viable tool. Our panel will show how they are leveraging that tool. We will learn how the two systems and their CV programs used telemedicine services in unconventional ways to the benefit of their organization and patients.

Drawing on observations and experiences in multiple organizations across the country, the MedAxiom consultant panel will provide unique experiences and insights from actual implementations: • Details on how disruptive technology can bring tremendous benefits—as well as significant challenges—to health care organizations • Examples of how best to introduce these valuable innovations without catastrophic unintended consequences.

Whether you are an expert or a novice at understanding Bundles, MACRA and MIPS, and regardless of the current payment scheme in place, if you have yet to optimize all your key CV processes, you are leaving money on the table. Without thoughtful clerical and clinical redesign, along with the logical reorganization of your most expensive technology and human resources across the organization, you are losing money. In this session, we go back to basics to understand where to find dollars/margin. The key is to control what you can in order to be better prepared for the reimbursement roller coaster. Practical advice and real-life strategies to maximize your resources will include: